subject_line
Sample Drug Expiration Check
Year
*
2016
2017
2018
2019
2020
2021
2022
2023
Month
*
January
February
March
April
May
June
July
August
September
October
November
December
Expired medications disposed of properly?
*
Yes
No
Not Applicable
Notes
*
Date Check Performed
*
+
Signature of Nurse Performing Check
*
clear